| NPI | 1578594800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204R00000X Electrodiagnostic Medicine (Licence: MO 2003013938) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2003013938) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-14 |